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No No <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />1 <br />Item 1 Location Temperature <br />Food Safety ition <br />■ <br />EHD 16-24 (2nd pg) 4/3/13 <br />•pnpin <br />irt___ _______ ___ <br />Chlorine: <br />Quat. Amm.: <br />°F <br />°F"Wai <br />o^ <br />Name: <br />Exp. Dat^: <br />Received By/Ti <br />EH Specialist^'' <br />Time in: <br />Food Program Official Inspection Report <br />iCAV\ WrOll Date: <br />City: Zip Code: <br />Telephone: <br />Inspection Type: <br />Re-Inspection on or After: <br />Program Record: <br />Permit Posted Yes <br />Name of Facility: <br />Address: <br />Owner/Operator: <br />Program Element: <br />SB180 Posted Yes <br />San Joaquin Cc ity <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjqov.org/ehd <br />\ce <br />Wi-CS ip 'WjiVx/ urvhl <br />cueVm f caS. <br />Item/Location <br />4-i^Q) - 3> <br />FOOD PROGRAM 0IR CONTINUATION <br />$ <br />Warewashing <br />ppm Heat: <br />ppm |Other? <br />Phone: s' j <br />Time Out: <br />\S at' MnCt tt> <br />^6 CAT b ~t7D 10(9 <br />Uff Thi a\C CaH^n K <br />o~v 'tV\& ^<2xy \^}Xx^c^S> ctnC <br />^ir OKtrn WmzA gfr <br />Qpr w £> C \oC6d „ <br />agiMtyHbt Water Temperature . <br />swashipg Sink: oF <br />- jsOVWU^ VMOdcMJS <br />no-T wcxHrxi <br />tu cwx ( <br />cartel h£ c <br />0b, _______j <br />wrAto.b / Ctxpdqcfc, <br />Zb^ WaiVx. accm? <br />_____ <br />Temperature |